{"id":350,"date":"2025-07-30T14:18:05","date_gmt":"2025-07-30T12:18:05","guid":{"rendered":"https:\/\/bcamonitor.org\/?p=350"},"modified":"2026-09-22T13:06:09","modified_gmt":"2026-09-22T13:06:09","slug":"compare-your-opinion-with-peers-and-prof-morgan-roupret-2","status":"publish","type":"post","link":"https:\/\/bcamonitor.org\/?p=350","title":{"rendered":"Compare your opinion with peers and Prof. Morgan Roupr\u00eat"},"content":{"rendered":"<p>[et_pb_section fb_built=&#8221;1&#8243; admin_label=&#8221;section&#8221; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;0px|||||&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_row admin_label=&#8221;row&#8221; _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; custom_padding=&#8221;||4px|||&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;4_4&#8243; _builder_version=&#8221;4.16&#8243; custom_padding=&#8221;|||&#8221; global_colors_info=&#8221;{}&#8221; custom_padding__hover=&#8221;|||&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text admin_label=&#8221;Text&#8221; _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; min_height=&#8221;119px&#8221; custom_padding=&#8221;0px|||||&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p><strong style=\"font-size: 14px\">Consider the same patient, but now with the following changes\u00a0<span style=\"background-color: yellow\">(marked in yellow):<\/span><\/strong><\/p>\n<p>Henry, a 70-year-old former creative director in a chocolate company, was initially diagnosed with a solitary small Ta low-grade (LG) tumour. He received 1 immediate chemotherapy instillation during transurethral resection of the bladder tumour (TURBT).<\/p>\n<p>Follow-up cystoscopy after 12 months shows a 1 cm papillary tumour and TURBT is performed. Visual appearance suggests a low grade and he received again 1 immediate chemotherapy instillation. The pathology report confirms urothelial cancer pTa LG (muscle in specimen, no CIS).<\/p>\n<p>He received mitomycin C instillations for 1 year. In the meantime, no recurrences were detected during follow-up.<\/p>\n<p>His follow-up visit at 15 months post-TURBT:<\/p>\n<ul>\n<li>Cystoscopy: negative<\/li>\n<\/ul>\n<p>The patient indicated he finds multiple cystoscopies burdensome <span style=\"background: yellow\">and refuses to continue with cystoscopic follow-up<\/span>.<\/p>\n<p><strong>Cast your vote and see what Prof. Morgan Roupr\u00eat recommends for this what-if scenario!<\/strong><\/p>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Text&#8221; _builder_version=&#8221;4.16&#8243; background_size=&#8221;initial&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; custom_margin=&#8221;||0px||false|false&#8221; custom_padding=&#8221;||0px|||&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_3,1_3,1_3&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; 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link_option_url_new_window=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p style=\"text-align: center\"><strong>Surveillance break until symptoms appear<\/strong><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; link_option_url=&#8221;https:\/\/bcamonitor.mirrorsmed.org\/en\/single-case\/4w1q6spaey2o404wwcg4oc0g8oco888?answer=caseAnswer2&#038;uid=%91UID%93&#8243; link_option_url_new_window=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p style=\"text-align: center\"><strong>Urinary cytology only<\/strong><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; link_option_url=&#8221;https:\/\/bcamonitor.mirrorsmed.org\/en\/single-case\/4w1q6spaey2o404wwcg4oc0g8oco888?answer=caseAnswer3&#038;uid=%91UID%93&#8243; link_option_url_new_window=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p style=\"text-align: center\"><strong>Urinary biomarker only<\/strong><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row column_structure=&#8221;1_3,1_3,1_3&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; width=&#8221;73.7%&#8221; custom_margin=&#8221;|auto||150px||&#8221; custom_padding=&#8221;|||0px||&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; 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_module_preset=&#8221;default&#8221; width=&#8221;74.1%&#8221; module_alignment=&#8221;center&#8221; min_height=&#8221;119px&#8221; custom_margin=&#8221;|-10px||150px||&#8221; custom_padding=&#8221;|0px||0px||&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; link_option_url=&#8221;https:\/\/bcamonitor.mirrorsmed.org\/en\/single-case\/4w1q6spaey2o404wwcg4oc0g8oco888?answer=caseAnswer4&#038;uid=%91UID%93&#8243; link_option_url_new_window=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p style=\"text-align: center\"><strong>Ultrasound only<\/strong><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; link_option_url=&#8221;https:\/\/bcamonitor.mirrorsmed.org\/en\/single-case\/4w1q6spaey2o404wwcg4oc0g8oco888?answer=caseAnswer5&#038;uid=%91UID%93&#8243; link_option_url_new_window=&#8221;on&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;]<\/p>\n<p style=\"text-align: center\"><strong>Ultrasound + urinary cytology<\/strong><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_3&#8243; _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; global_colors_info=&#8221;{}&#8221; theme_builder_area=&#8221;post_content&#8221;][et_pb_text _builder_version=&#8221;4.16&#8243; _module_preset=&#8221;default&#8221; link_option_url=&#8221;https:\/\/bcamonitor.mirrorsmed.org\/en\/single-case\/4w1q6spaey2o404wwcg4oc0g8oco888?answer=caseAnswer6&#038;uid=%91UID%93&#8243; 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He received 1 immediate chemotherapy instillation during transurethral resection of the bladder tumour (TURBT). Follow-up cystoscopy after 12 months shows a 1 [&hellip;]<\/p>\n","protected":false},"author":0,"featured_media":287,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[11],"tags":[],"class_list":["post-350","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-clinicalcase"],"_links":{"self":[{"href":"https:\/\/bcamonitor.org\/index.php?rest_route=\/wp\/v2\/posts\/350","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bcamonitor.org\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bcamonitor.org\/index.php?rest_route=\/wp\/v2\/types\/post"}],"replies":[{"embeddable":true,"href":"https:\/\/bcamonitor.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=350"}],"version-history":[{"count":1,"href":"https:\/\/bcamonitor.org\/index.php?rest_route=\/wp\/v2\/posts\/350\/revisions"}],"predecessor-version":[{"id":361,"href":"https:\/\/bcamonitor.org\/index.php?rest_route=\/wp\/v2\/posts\/350\/revisions\/361"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/bcamonitor.org\/index.php?rest_route=\/wp\/v2\/media\/287"}],"wp:attachment":[{"href":"https:\/\/bcamonitor.org\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=350"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bcamonitor.org\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=350"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bcamonitor.org\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=350"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}